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At least 127 records · Page 7Linked to original sources
PubMed1989

Infant mortality among moderately low birth weight infants in Alabama, 1980 to 1983.

A previous study of postneonatal deaths among normal birth weight infants in Alabama indicated that rural residence increased the risk of postneonatal death, the magnitude of the excess risk in the black population, and the risk of death from preventable causes. To determine whether this pattern persisted in a group presumably at higher than usual risk of infant death, patterns of mortality among infants weighing 1500 to 2499 g at birth and born in Alabama between 1980 and 1983 were examined by race, residence, and cause of death. Neonatal and infant mortality rates were higher for black infants; postneonatal mortality rates were higher for black infants. Neonatal mortality was highest for white infants from the rural part of the state; post-neonatal mortality was highest for black infants from the rural part of the state. There was little variation in the proportion of preventable postneonatal deaths by race or residence (17.6% for all) but almost twice as many white deaths were not preventable as black ones (39.0 vs 21.9%). It is posited that rural residence may actually be a surrogate measure for lack of access to health services.

Black or African American↗
PubMed1987

Fetal deaths in Alabama, 1974-1983: a birth weight-specific analysis.

Birth weight-specific fetal death rates were evaluated for Alabama for the years 1974-1983. The fetal death rate for the total low birth weight group improved less than 20% during the decade, whereas the fetal death rate for the 2500-3999-g birth weight group improved 40%, and the fetal death rate for the group of 4000 g or more improved 71%. By 1983, 76% of all stillbirths weighed less than 2500 g, compared with 66% in 1974. In contrast, in both years, only about 7% of live births weighed less than 2500 g. This study suggests that increased reporting of stillbirths of less than 500 g has contributed to the recent apparent lack of improvement in stillbirth rates in Alabama.

Alabama↗
PubMed1994

Homicide among black males in Jefferson County, Alabama 1978-1989.

This study examined 1505 of 1573 (96%) homicides occurring in Jefferson County, Alabama, between 1978 and 1989, that were investigated by the Coroner/Medical Examiners' Office. During this 12 year period, Jefferson County's average annual homicide rate was 18.9 per 100,000 compared to an 11.3 per 100,000 State of Alabama's rate and a 9.3 per 100,000 US rate. In Jefferson County, the average annual homicide rate among blacks (41.4) was almost six times the rate among whites (7.1). The highest average annual race-specific homicide rate was in black males (75.9), followed by black females (12.4), white males (10.4) and white females (4.1). Black males in the 25-34 year age group had the highest rate (159.7), followed by black males in the 35-44 year age group (151.7) and then by black males in the 15-24 year age group (96.2). These rates ranged from almost eight to over eleven times the rates of similarly aged, black females or white males and were over 33 times higher than the rates for white females of the same age. Our results emphasize the high rates of black male on black male violence, the acquaintance of the black male victim and perpetrator, and the importance of arguments as an inciting event. Moreover, we determined that while the raw numbers and rates for black homicides were and are staggering, the average annual homicide rate for black males was actually declining at a greater rate than for all other race-sex groups. Further, our results suggest that a number of hypothesized determinants commonly believed to be associated with the increase in the homicide rate among black males between 15 and 24 years of age, such as drug use, increased availability of firearms and increased child abuse were not, in fact, major determinants of the change in homicide rates.

Adolescent↗
PubMedDate not supplied

Prevalence of illicit drugs detected in the urine of women of childbearing age in Alabama public health clinics.

Each year, it is estimated that from 350,000 to 739,000 U.S. infants are exposed in utero to one or more illicit drugs. To estimate the prevalence of and risk factors for illicit drug use by women of childbearing age in Alabama, during 2 months in 1991 the authors collected patient-reported histories, clinical histories, and urine specimens from 6,195 women statewide attending public health maternity clinics, family planning clinics, and a high-risk referral obstetrical clinic. Blind drug screening of urine specimens for marijuana, cocaine, opiates, barbiturates, and amphetamines was performed with the use of a fluorescent polarization immunoassay. The overall prevalence of positive results for drugs tested was 10.1 percent, including 8.4 percent of the 3,554 pregnant and 12.3 percent of the 2,571 nonpregnant women screened. The drugs most frequently detected were marijuana and cocaine. Characteristics of the subjects associated with a higher prevalence of positive results for any drug tested or for marijuana included white race, older age, being divorced, non student occupation, having 12 or less years of education, attending a clinic located in a suburban county, self-reported substance use, increased risk for human immunodeficiency virus infection, and reproductive history. Characteristics of women with positive screening for cocaine results were similar to those who tested positive for any drug, except that the prevalence of cocaine was higher among black women and those attending urban county clinics and did not vary by years of education. Patient-reported histories of drug use were insensitive in identifying women who had positive drug screening results (sensitivity, 6.3 percent; specificity, 98.2 percent). Thus, in this study,the use of illicit drugs among women of childbearing age attending public clinics in Alabama was common and emphasizes the need for targeted drug education and interventions to reduce the impact of drug use on this high-risk population.

Adolescent↗
PubMed1994

Adolescent sexual activity in Alabama.

OBJECTIVE: Early adolescent sexuality has reached epidemic proportions in the US. Most investigations on adolescent sexuality have focused on large urban populations. The objective of this study was to identify the rate of adolescent sexuality in a Southern population and make comparisons to national studies. METHODS: Data were collected by surveying 3370 students in the eighth and tenth grades from across the state of Alabama. The survey utilized was a modified version of the Alabama Adolescent Student Health Survey, an instrument derived from the National Adolescent Student Health Survey. RESULTS: The male sexual experience rate was 41% compared to the female rate of 39%. Tenth graders (44%) were more sexually experienced than eighth graders (37%). Blacks (50%) were more sexually active than whites (35%). Adolescents from single parent (45%) or non-parent households (46%) were more likely to be sexually active than those from two-parent households (36%). CONCLUSIONS: The rates of reported sexual activity in this survey are alarming and are similar to rates reported in the literature. This study helps document the increasing rate of sexual activity as teenagers span the adolescent years. Family physicians are in an ideal position to help educate adolescents about risky sexual behaviors.

Adolescent↗
PubMed1994

Tornado disaster--Alabama, March 27, 1994.

On Sunday, March 27, 1994, a series of severe thunderstorms and tornadoes moved across Alabama, Tennessee, Georgia, North Carolina, and South Carolina. These storms accounted for injuries to at least 422 persons, including 47 fatalities. Twenty-three fatalities were associated with a tornado that cut a path across St. Clair, Calhoun, and Cherokee counties in northeastern Alabama from 10:55 a.m. to 11:39 a.m. (Figure 1). This tornado damaged or destroyed three churches while services were being conducted. This report provides a summary of the injuries and deaths associated with this tornado based on information from death certificates from coroners' offices in the three counties and from emergency department and inpatient medical records from eight area hospitals.

Alabama↗
PubMed1989

Evidence of duplication and deletion in super short segment 11 of rabbit rotavirus Alabama strain.

The complete nucleotide sequence of genome segment 11, of the Alabama strain of rabbit rotavirus, was determined by sequencing dsRNA and mRNA using the dideoxy chain termination method. This strain has a "super short" RNA pattern. Its segment 11 is 1036 bp in length, 369 nucleotides longer than that reported for rotavirus strains with a "long" electropherotype. Sequence analysis indicated that the shift in genome segment 11 of Alabama strain to a "super short" RNA pattern results from a simple duplication followed by a simple deletion. The positive strand of segment 11 contains two non-overlapping open reading frames of 594 bases (198 amino acids) starting at base 22 and a second of 273 bases (91 amino acids) starting at base 712. The polypeptide from the latter reading frame is the result of a partial duplication of the nucleotide sequence encoding amino acids 110 to 198 of gene 11.

Amino Acid Sequence↗
PubMed1998

Illicit alcohol (moonshine) consumption in West Alabama revisited.

BACKGROUND: Lacy and Wintemitz in 1984 and Pegues in 1991 showed the presence of moonshine-related lead poisoning in Alabama. METHODS: This study was a 10-year follow-up to the Lacy and Wintemitz study and used a similar inpatient retrospective chart review methodology. We looked at cases occurring between 1989 and 1992, which were positive for either a history of moonshine consumption or lead intoxication and cases suspicious for the diagnoses, based on the Lacy and Wintemitz epidemiologic parameters. RESULTS: A declining, yet continuing, presence of moonshine-related lead intoxication still exists in west Alabama. CONCLUSIONS: The findings suggest the current at-risk patients may continue to be middle-aged to elderly men from rural settings. Furthermore, appropriate screening tests were not always ordered, which suggests a possible lack of awareness of the disorder by care givers.

Adult↗
PubMed1999

History of agricultural injury among farmers in Alabama and Mississippi: prevalence, characteristics, and associated factors.

BACKGROUND: There have been no studies of the prevalence, characteristics, and factors associated with the history of prior farm injury among active farmers. No studies have had adequate numbers of black farmers to evaluate farm owner/farm worker and black/white similarities and differences. METHODS: Our sample is based upon surveys administered to 1,310 active male farmers in nine rural counties in Alabama (5) and Mississippi (4). The farmers are white owner/operators (53.6%), black owner/operators (26.6%), and black workers (19.8%). RESULTS: Overall, 23.4% of the farmers had a prior injury. Prior injury was more frequent among white owner/operators (29.1%), compared with black workers (18.9%), and black owner/operators (15.2%). In multiple logistic regression analyses, post-high school education and tiredness when farming were independently associated with prior injury in black owner/operators. In white owner/operators, age > or = 60 years, post-high school education, full-time farming, tractor use, more pieces of machinery, hurry when farming, and alcohol consumption were associated with prior injury. In black workers, only being very careful was associated with prior injury. CONCLUSIONS: The results suggest that prevention efforts focusing on alcohol consumption, fatigue, and hurry when farming might reduce injuries; however, only a follow-up study of this sample can determine whether these associations reflect causal factors, recall, or selection bias.

Adult↗
PubMedDate not supplied

Access to obstetrics care for rural Alabama population.

The delivery of health care in rural areas is a problem throughout the United States. The health of an individual warrants consideration near conception, as the health of a mother affects the health of an unborn child. This article evaluates the status of obstetrics care in rural Alabama and offers possible alternatives to the current delivery of care.

Alabama↗
PubMed1994

Agricultural injuries among a population-based sample of farm operators in Alabama.

A population-based study of the occurrence of agricultural injuries during the previous year was conducted in a simple random sample of 1,000 farm operators in Alabama in 1991. The participation rate was 86.2%. The cumulative 1-year incidence was 9.9% (95% CI = 7.7-12.1), based on the number of injuries, and 7.8% (95% CI = 5.8-9.8), based on the number of farmers injured. Limbs were the body parts most frequently injured: fingers (10.7%), hands or wrists (10.7%), and legs (8.9%). The leading external causes were machinery (28.6%), falls (23.2%), and animals (12.5%). There was a higher injury frequency at the end of the week, with a Saturday peak. Seasonal pattern of injury displayed a bimodal curve, one peak in spring, and a higher peak in early fall in September. The most risky farm types were forestry and dairy. The factors predictive of increased injury risk in multiple logistic regression included younger age, farm ownership, greater percent of working time spent on farming, more alcohol consumed, and prior residual injury. The results provide some indications for formulating agricultural injury control programs and for future research.

Accidents, Occupational↗
PubMed1977

The Cajuns of Southern Alabama: morphology and serology.

A survey was conducted of 324 members of the Cajun isolate of Southern Alabama. Tradition and appearance suggest that this population of about 3,000 are not entirely White, Black, or Indian but constitute a triracial community somewhat reproductively isolated and inbred. The earliest American settlement in the area, along the banks of the Mobile and Tombigbee Rivers, lay between Spaniards to the South and Indian tribes on the other sides: Creek, Choctaw, and Cherokee. Physical measurements are reported for 71 adults, plus color of skin, eyes, and hair. X-rays were taken of wrist and ankle bones of some 253 children. Red blood samples were typed on adults and children, and haptoglobin, Gm, and Gc types were determined from serum. History and physical examinations were also made. Physical measurements and observations suggest predominantly White ancestry, and D2 analysis confirms this, with least similarity to Indians. Analysis of serological traits implies almost 70% White, almost 30% Black, and very little Indians genes. Few defects of clear genetic etiology were discovered. Growth patterns judged from X-rays appeared normal. All genetic loci testable were in Hardy-Weinberg equilibrium except Gc. While history and some common surnames suggest endogamy in the past, the medical and serological findings, plus some additional surnames, indicate that the isolate has already been largely diluted or dissolved.

Adolescent↗
PubMed1996

ABO blood groups and salivary gland tumors (Alabama, United States).

Studies of associations between various diseases and the ABO blood groups have shown elevated relative risks for some categories of disease. A strong association between salivary gland tumors and blood group A has been reported, but studies are few and have yielded contradictory results. To investigate this association, we conducted an epidemiologic study of salivary gland tumors diagnosed in Jefferson Country, Alabama (United States), 1968-89. All tumors were histologically confirmed. Blood group information was obtained for 200 individuals with salivary gland tumors, and the distribution of ABO and Rh blood type for cases was compared with that of 52,118 healthy blood donors from the same geographic area. The 38.5 percent of salivary gland tumors in cases with blood group A was similar to the 39.0 percent observed for controls (P = 0.95). No differences were observed when benign and malignant tumors were considered separately, nor for any of the major histologic types of tumor. The distribution of Rh factor among cases and controls also did not differ significantly (P = 0.08).

ABO Blood-Group System↗
PubMed1983

National Health Service Corp: a survey of Alabama's scholarship recipients.

In April 1979, 41 Alabama medical students who had received scholarships from the National Health Service Corps (NHSC) were surveyed. The students were predominantly single urban individuals who received their initial NHSC scholarship in the first or second year of medical school. The majority who planned primary care careers were undecided about remaining in the NHSC after their commitment. The students were concerned about the logistics of the NHSC and practice in rural areas. Based on their response, it is suggested that medical schools, The American Medical Student Association, and the NHSC develop a series of activities designed to facilitate the NHSC scholarship recipients subsequent activities in the NHSC. These suggestions include elective credit for NHSC/AMSA (American Medical Student Association) preceptorships, curriculum offering that facilitate the physician's practice in underserved communities, and activities that facilitate the medical school faculties' understanding of the NHSC.

Alabama↗
PubMed2005

The association of child condition severity with family functioning and relationship with health care providers among children and youth with special health care needs in Alabama.

OBJECTIVE: The purpose of the present study is to assess how the severity of a child's condition affects family functioning and the relationship with health care providers among children with special health care needs in Alabama. METHODS: Using the data from the National Survey of Children with Special Health Care Needs (CSHCN), three variables were used as measures of condition severity: responses to the CSHCN screener questions, whether condition affected the ability to do things for children and youth with special health care needs (CYSHCN), and the level of severity of CYSHCN's condition. The dependent variables included family functioning and provider relationship. RESULTS: CYSHCN who only take prescription medicine for their chronic condition (MO) had lower condition severity from those who have other needs (NMO). In NMO CYSHCN, higher condition severity was associated with increased strain on family functioning outcomes and higher unmet needs in provider relationship outcomes, adjusted for demographic and insurance variables. Families of NMO CYSHCN with a more severe condition spent more temporal and financial resources and had a higher need for professional care coordination, and were less likely to have sensitive providers. CONCLUSIONS: Severity of condition is an important factor increasing strain on family resources and relationship with the provider. Our results indicate the need for professional care coordination and family support, particularly among those families in which there is a NMO CYSHCN with a more severe condition. This finding supports the mandate that all CYSHCN should have their health care coordinated and provided in the context of a medical home.

Adolescent↗
PubMed1991

Drug abuse screening of childbearing-age women in Alabama public health clinics.

During August 1989, the urine of 5010 women of childbearing-age in Alabama was screened for marijuana, cocaine, opiates, amphetamines, and barbiturates. The data base consisted of 2970 pregnant women, 374 of whom were at high risk, and 2019 nonpregnant women. Our findings included the following information: (1) The statewide prevalence of positive screens for any drugs tested was 12.9% for all women (11.0% for those who were pregnant and 15.6% for those who were not pregnant). (2) There was no difference between urban and rural groups for any drugs tested. (3) Positive marijuana screens were increased among white and nonpregnant women (p less than 0.01). (4) Positive cocaine screens were increased among black and single women (p less than 0.01). (5) More screens were positive in women older than age 20 (p less than 0.01). (6) There was no difference between pregnant and nonpregnant women for positive cocaine screens. (7) No difference existed among the trimesters of pregnancy for positive cocaine screens. (8) Positive screens for marijuana were more frequent in the first trimester of pregnancy than in the second trimester (p = 0.02) or the third trimester (p = 0.001). (9) There was no difference between high-risk and low-risk maternity patients for any drugs tested.

Adult↗
PubMed1989

Homicide in Alabama: an analysis of urban, suburban and rural murders in the Deep South.

Eleven hundred forty-four (1144) homicides occurring in Alabama, U.S.A. during a 2-year period are presented and analyzed according to the demographic parameters of the victims, location in urban, suburban, or rural community, type of homicide based on a medical examiner's classification, presence of drugs, weapon employed and other factors. Urban dwellers, Blacks and males are found to be at high risk. Alcohol is much more prevalent than other drugs in homicide victims. Although the handgun is the weapon most commonly used throughout the state, in the rural regions the longgun is used almost as often. The difficulty of making valid comparisons with other homicide studies is discussed and the establishment of a uniform classification of homicides urged.

Adolescent↗
PubMed2005

Effect of watershed parameters on mercury distribution in different environmental compartments in the Mobile Alabama River Basin, USA.

Total mercury (THg) and mono-methylmercury (MeHg) levels in water, sediment, and largemouth bass (LMB) (Micropterus salmoides) were investigated at 52 sites draining contrasting land use/land cover and habitat types within the Mobile Alabama River Basin (MARB). Aqueous THg was positively associated with iron-rich suspended particles and highest in catchments impacted by agriculture. Sediment THg was positively associated with sediment organic mater and iron content, with the highest levels observed in smaller catchments influenced by wetlands, followed by those impacted by agriculture or mixed forest, agriculture, and wetlands. The lowest sediment THg levels were observed in main river channels, except for reaches impacted by coal mining. Sediment MeHg levels were a positive function of sediment THg and organic matter and aqueous nutrient levels. The highest levels occurred in agricultural catchments and those impacted by elevated sulfate levels associated with coal mining. Aqueous MeHg concentrations in main river channels were as high as those in smaller catchments impacted by agriculture or wetlands, suggesting these areas were sources to rivers. Elevated Hg levels in some LMB were observed across all types of land use and land cover, but factors such as shallow water depth, larger wetland catchment surface area, low aqueous potassium levels, and higher Chl a concentrations were associated with higher Hg burdens, particularly in the Coastal Plain province. It is suggested that the observed large variability in LMB Hg burdens is linked to fish displacement by anglers, differences in food web structure, and sediment biogeochemistry, with surficial sediment iron oxides buffering the flux of MeHg from sediments to deeper water pelagic food webs.

Alabama↗